Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees

OMB 0505-0025

OMB 0505-0025

Information collected will be used to evaluate corporate applicants and awardees felony conviction and tax delinquency status prior to entering into new non-procurement contracts, grants, loans, loan guarantees, cooperative agreements and some memoranda of agreement. The information is needed to ensure fiscal year funds are not inappropriately disbursed.

The latest form for Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
Supplementary Document
All Historical Document Collections
Revision of a currently approved collection 2022-06-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-10-17
Approved without change
Generic IC 2019-08-14
Approved without change
Revision of a currently approved collection 2019-04-29
Approved without change
Generic IC 2016-09-15
Approved without change
Revision of a currently approved collection 2016-04-21
Withdrawn and continue
Revision of a currently approved collection 2016-02-29
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-03-20
Withdrawn and continue
No material or nonsubstantive change to a currently approved collection 2015-03-19
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-01-20
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-04-03
Approved without change
Revision of a currently approved collection 2012-12-13
Approved without change
No material or nonsubstantive change to a currently approved collection 2012-11-30
Approved without change
No material or nonsubstantive change to a currently approved collection 2012-06-29
Approved without change
No material or nonsubstantive change to a currently approved collection 2012-06-27
Approved without change
New collection (Request for a new OMB Control Number) 2012-06-15

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